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South Carolina rates for HCPCS L5510

Preparatory, below knee (BK) PTB type socket, nonalignable system, pylon, no cover, SACH foot, plaster socket, molded to model

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$781.70 / $781.70 / $781.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$760.43 / $781.70 / $1,300.57
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,015.00 / $1,279.66 / $1,852.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$778.25 / $1,375.24 / $1,518.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,003.93 / $1,050.80 / $1,375.24
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$777.58 / $1,252.00 / $2,744.28
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$983.00 / $983.00 / $1,056.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$665.28 / $871.76 / $1,313.47